What are other options to using restraints? There may or may not be other options. When there are other options, we will try them first. We encourage family and friends to help us understand the patient’s needs and choose suitable options. Other options include: � Sitting with the patient � Walking with the patient to use pent up energy � Playing the patient’s favourite music to calm him or her � Having regular supervised toileting times to assist unsteady patients
Using a restraint? � The health care team will discuss the possible use of a restraint with the patient and/or family, and will get consent. Then the doctor will order the restraint.
Patient Restraints
� If the patient is not able to give consent, the team will speak with someone who can decide for him or her, called a substitute decision maker. � A capable patient or substitute decision maker has the right to decline the use of the restraint, except when the patient is at risk of seriously hurting him or herself or others. � In emergency situations, a restraint may be applied immediately and consent will be obtained as soon as possible. If you have questions, please talk to a member of the health care team.
We may ask family or friends to help with some of these options.
March 2011
www.providencecare.ca
The information in this handout has been adapted from the Hamilton Health Sciences Least Restraint Policy and the Patient Restraint Minimization Act (2001).
The use of restraints can be stressful for patients and their families. We created this handout to answer some of your questions on the use of restraints. Sometimes illness, injury, medications, or being away from home can cause a patient’s behaviour to change. Providence Care has a policy of Least Restraint. We try very hard not to use restraints if possible. When used, they are a temporary measure to protect the patient’s health and safety and that of others.
What are Restraints? Restraints are methods to restrict movement by the patient.
What are the types of restraints used? There are different types of restraints:
Physical Restraints: Worn by a patient to restrict movement. Example: Cross over lap belt on wheelchairs.
Chemical Restraints: Medications used to control aggressive or agitated behaviour.
Confinement or Environmental Restraints: A change in the environment which restricts movement from one area to another. Example: Wander Bracelet.
What are the risks to using a restraint? When restraints are used, staff regularly check the patient to ensure he or she is safe. When the restraint is no longer necessary, it will be removed. Restraints do not ensure safety and may actually be a cause of harm. Even when properly applied restraints can lead to serious problems. Restraints can increase the likelihood of injury, infection, incontinence and skin breakdown.